ClinicalTrials.gg
RecruitingNCT02997709COMBINEUpdated Mar 4, 2026

Collection and Measurement of Biomarkers in Prostate Cancer Radiotherapy Patients

An observational study in Prostate Cancer, sponsored by University of Miami. Recruiting at 1 site in United States. Open to male participants aged 30 Years and older. Per ClinicalTrials.gov, last updated 2026-03-04.

Sponsored by University of Miami · Observational

From the registry’s dates

  • Started Jun 2016; still recruiting 10 years 4 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
144
Ages
30 Years and older
Sex
Male
01

Study summary

The purpose of this research study is to learn about: 1) How standard radiation treatment to prostate (primary radiotherapy) or the pelvis after prostatectomy (postoperative radiotherapy) may cause changes in MRI and PET imaging traits that might be used in the future to predict response. 2) Comparison of such MRI and PET imaging traits with the number of circulating tumor cells (CTCs) present in the blood prior to treatment and the changes in these counts after treatment. 3) How MRI and PET imaging characteristics and changes are related to the expression of genes in the cancer tissue obtained before treatment from prostate biopsy or a prior prostatectomy before treatment. 4) How the response of prostate cancer treatment relates to the imaging and CTC changes.

02

Conditions studied

  • Prostate Cancer

Keywords

  • Circulating Tumor Cells
  • CTCs
  • Androgen Deprivation Therapy
  • ADT
03

In context

Prostatic Neoplasms

7,046 studies on the registry are indexed under Prostatic Neoplasms; 1,580 are open to participants now.

This study's planned enrollment of 144 is below the median of 200 across 1,310 observational studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

University of Miami is the lead sponsor of 840 studies on the registry; 164 are open to participants now.

Of its 115 completed or terminated interventional studies of FDA-regulated products, 97 (84%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
30 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult men with a prostate cancer diagnosis undergoing standard of care treatment at the University of Miami.

Eligibility criteria

Inclusion Criteria:

  1. Pathologic confirmation of prostate cancer.
  2. Any T-stage.
  3. By imaging or clinical criteria, any patient with disease staging of N0/N1 and M0/M1.

    • Patients with disease are encouraged to participate.
  4. Any Gleason Score will be eligible.
  5. Androgen deprivation therapy (ADT) is at the discretion of the treating physician, but must be declared as none, short-term, long-term, or extended prior to enrollment. The length is calculated from the LHRH (agonist injection). If ADT is planned (based on treating physician preference), the following restrictions apply:

    • Short term ADT is defined as ≤ 7 months;
    • Long term ADT is defined as > 7 months and ≤ 36 months;
    • Extended ADT is defined as >36 months (e.g., M1 patients).
  6. Prostate-specific antigen (PSA) ≤100 ng/mL within (+/-) 4 months of signing of consent. If PSA was above 100 and drops to \<100 with antibiotics, this is acceptable for enrollment.
  7. No previous pelvic radiotherapy.
  8. The ability to understand and the willingness to sign a written document
  9. Zubrod performance status ≤ 2 ( or performance status may be used to estimate Zubrod):
  10. Age ≥ 30 at signing of consent.
  11. Subjects must be planned to receive radiation therapy or to undergo prostatectomy.
  12. Subjects treated primarily with RT are recommended to have had an MUFgBx prior to radiation treatment.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
144 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Radiation Therapy Group

    Participants with prostate cancer diagnosis who are scheduled to undergo radiotherapy (definitive or palliative) with or without the addition of Androgen Deprivation Therapy (ADT) will be evaluated

  • Prostatectomy Group

    Participants with prostate cancer diagnosis who are scheduled to undergo prostatectomy will be evaluated.

06

What researchers measure

Primary outcomes

  1. Comparison of Pre- and Post-Treatment Quantitative Imaging Parameters to Changes in Circulating Tumor Cells Over Time in Study Participants.

    Pre-Treatment and Post-Treatment quantitative imaging parameters will be associated with circulating tumor cell (CTC) changes over time in prostate cancer (PCa) patients who receive treatment with RT ± androgen deprivation therapy (ADT) or prostatectomy per standard of care. CTC and quantitative imaging changes will be determined at each of the planned research acquisition time points (8 days prior to completion of radiation therapy (RT), 3 months post-RT, 9 months post-RT, and 2-2.5 years post-treatment) comparing to the Baseline.

    Time frame: Baseline, within 8 Days Prior to End of RT, 3 months Post-RT, 9 months and 2-2.5 Years Post-RT

Secondary outcomes

  1. Relationship of CTC changes and/or quantitative imaging parameter changes to patient outcome (biochemical and clinical disease failure).

    CTC changes between baseline and 2-2.5 years will be compared with 2-2.5 year biopsy positivity status (positive vs. negative) for patients whose baseline and 2-2.5 year biopsy samples are available. CTC changes from two different time points will be tested for significance using t-test by 2-2.5 year biopsy positivity status. Correlation structures between CTC and imaging parameters will be analyzed using linear mixed-effect model by 2-2.5 year biopsy positivity status.

    Time frame: Between Baseline and 2-2.5 Years Post-RT

  2. Relationship of Androgen Deprivation Therapy (ADT) status to quantitative imaging features and/or CTC levels in patients

    Change of CTC and imaging parameters at a specific time point from baseline will be compared by ADT status (yes vs. no) using t-test. Correlation structure between CTC and imaging parameters will be analyzed using linear mixed-effect model by ADT status.

    Time frame: Between Baseline and 2-2.5 Years Post-RT

  3. Relationship of quantitative imaging characteristics and/or CTC changes with other tissue biomarkers obtained from the pre-treatment MRI ultrasound (US) fusion guided prostate biopsy or prostatectomy tissue in those treated primarily.

    Gene expression data obtained at baseline will be analyzed in order to investigate the relationship between the gene expression and the following: CTCs, mpMRI imaging parameters, histopathological tumor parameters, and biochemical/clinical failure. CTC changes between baseline and 2-2.5 years will be compared with 2-2.5 year biopsy positivity status (positive vs. negative) for patients whose baseline and 2-2.5 year biopsy samples are available. CTC changes from two different time points will be tested for significance using t-test by 2-2.5 year biopsy positivity status. Changes in gene expression and imaging parameters will be analyzed in the same manner. Correlation structures between CTC and imaging parameters; CTC and gene expression; and imaging parameters and gene expression will be analyzed using linear mixed-effect model by 2-2.5 year biopsy positivity status.

    Time frame: Between Baseline and 2-2.5 Years Post-RT

  4. Comparison of changes in CTCs to endpoint prostate research biopsy status.

    In patients who have undergone the MRI-US fusion guided biopsy (MUFgBx) at 2-2.5 years after all planned treatment, to investigate the relationship of circulating tumor cell (CTC) changes with the endpoint of research prostate biopsy status (only for those who are treated primarily with RT, who are not on indefinite ADT and who agree to this prostate early "endpoint" biopsy).

    Time frame: Between Baseline and 2-2.5 Years Post-RT

  5. Comparison of changes in quantitative imaging characteristics to endpoint prostate research biopsy status.

    In patients who have undergone the MRI-US fusion guided biopsy (MUFgBx) at 2-2.5 years after all planned treatment, to investigate the relationship of quantitative imaging characteristics with the endpoint of research prostate biopsy status (only for those who are treated primarily with RT, who are not on indefinite ADT and who agree to this prostate early "endpoint" biopsy).

    Time frame: Between Baseline and 2-2.5 Years Post-RT

  6. Comparison of changes in gene expression patterns to endpoint prostate research biopsy status.

    In patients who have undergone the MRI-US fusion guided biopsy (MUFgBx) at 2-2.5 years after all planned treatment, to investigate the relationship of pretreatment biopsy tissue gene expression patterns with the research endpoint of prostate biopsy status (only for those who are treated primarily with RT, who are not on indefinite ADT and who agree to this prostate early "endpoint" biopsy).

    Time frame: Between Baseline and 2-2.5 Years Post-RT

  7. Determination of the added value of PET/CT using newer tracers to MRI

    PET/CT using newer tracers (fluciclovine, prostate-specific membrane antigen (PSMA), or Choline) to MRI may add value in the above secondary analyses. The investigators hypothesize that targeted PET agents will enhance the rate of accuracy of mpMRI in establishing high risk areas in the prostate, prostate bed, and pelvic lymph nodes, as well as provide unique information on early metastatic disease.

    Time frame: Between Baseline and 2-2.5 Years Post-RT

07

Study locations

1 of 1 sites recruiting
  • University of Miami
    Miami, Florida 33136, United States
    Recruiting
    • Pavel Noa Hechevarria · Contactpavel.noa@med.miami.edu · 305-243-1036
    • Alan Pollack, MD, Ph.D. · Principal investigator
    • Matthew Abramowitz, MD · Principal investigator
    • Radka Stoyanova, Ph.D. · Principal investigator
    • Alan Dal Pra, MD · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02997709
Collaborators
Bankhead-Coley Florida Biomedical Research Program
Responsible party
Alan Pollack, MD, PhD (Professor, University of Miami) — Principal investigator
First posted
Dec 20, 2016
Start date
Jun 24, 2016
Primary completion
Jun 30, 2027 (estimated)
Completion
Jun 30, 2032 (estimated)
Last update
Mar 4, 2026

Study contacts

Pavel Noa Hechevarria
Contact
pavel.noa@med.miami.edu
305-243-1036
Alan Pollack, MD, PhD
principal investigator · University of Miami

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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